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Home My WebLink AboutBLDE-22-003018 Commonwealth of Official Use Only fi_1% Massachusetts Permit No. BLDE-22-003018 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/23/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 151 OCEAN AVE Owner or Tenant PRIMPAS JOHN T Telephone No. Owner's Address PRIMPAS PAMELA W, 26 LAWTON LN, FOXBORO, MA 02035 to Is this permit in conjunction with a building permit? Yes 0 No 0 (Che s '• • . ix) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 0 to to New Service Amps Volts Overhead 0 Undgrd ❑ r e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install outdoor kitchen, landscaping lighting, &lantern. it::+tS\ Completion of the following table may b ' . 4,I ctor of Wires. :No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of , Total Transformers e VA No.of Luminaire Outlets No.of Hot Tubs Generators �k KVA No.of Luminaires Swimming Pool Agrn d.bove ❑ In- ❑ No.of Emergency Lighting 2� grnd. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Randy A Butt Licensee: Randy A Butt Signature LIC.NO.: 16473 (Ilapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:34 Hixon Ct, N Attleboro MA 027602226 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 4 f k C e i i.�, J ti(ue (24 RECEIVED NOV 1 8 20n, .a ccM...chaea(1e Official Use Only IL DI NL Ur_HA RI IS l*, nt o`..iea J.eic.e Permit No. �j!/Z' ✓�� t BOARD OF EVENTION REGULATIONS Rev.1/07]y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (I•lit•2( City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Is( OC A Owner or Tenant "may L.., 4-� ,..iUy` c, ?i-Z..14S Telephone No. Owner's Address ywwa` I Is this permit in conjunction with a uildin¢permit? Yes No t�i(l ❑ ❑ (Check Appropriate Box) Purpose of Building5 Z e 1t Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd El No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity Ii Location and plature of Proposed Electrical, Work: t 4, �• �_,- (i Se ft `, t ;"'.1 `}— oUJC57 t..- v\ect.r tA.<.t.� S l rt'�J$`.r'"`I" 1 Completion of the following table my be waived by the Inspector of Wires. U. No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.of Total Transformers KVA _ =I No.of Luminaire Outlets No.of Hot Tubs Generators KVA rt No.of Luminaires I Swimming Pool Above In- No.of Emergency Lighting grnd. grad. ,Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS lNo.of Zones No.of Switches No.of Gas Burners "No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'Heat Pump I Number I Tons 1KW No.of Seif-Contained Totals: ...... .._... Detection/Alertin vices No.of Dishwashers Space/Area Heating KW Local❑Municipal De Connection 0 Other Na.of Dryers Heating Appliances KW Security Systems:. No.of No.of Water Heaters Signs Ballasts No.of, 'No.of No.of Data Wirinevices or Equivalent Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1 l L No.of Devices or Equivalent _ OTHER: ((.,,r�.sc ,.-,L .i-4w1 s la (/'O ('i _ _ _^�' Attach additional detail if desired or as required by the Inspector of Wires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ((•(g.21 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force,and has exhibited proof of same�to the p��rmit issuing o rc CHECK ONE: INSURANCE BOND❑ OTHER❑ (Specify:) �^^'^r"'` LiGt,br(rii I certify,under the pains and penalties of perjury,that 1 e information on this application is true and complete. FIRM NAME: -r c IM,cr,� iG 1ti,G AI`tf73 �'J LIC.NO.: Licensee: �t.TT Signature LIC.NO.:E,325(If applicable,enter"e em t"in the license tube line./ Address: lit 14.}54. Court Zo rfttly�� 4 Q�`.Bus.Tel.No.`�'('7 Per M.G.L.c.147,s.57-61,security work requires Departmenten of Public SafetyS"Licensee AI[Lic.No.�� (tat 'f OWNER'S INSURANCE WAIVER: I ant aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)i]owner ID owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE:$